Reproductive Physiology - 2 Flashcards

1
Q

Which hormone stimulates the release of FSH and LH? Where is it released from?

A

GnRH (gonadotrophin releasing hormone)

The hypothalamus

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2
Q

Where are FSH and LH released from?

A

The anterior pituitary

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3
Q

How do estrogen and progesterone feedback to regulate production of GnRH and FSH & LH?

A

Most of the cycle they negatively feedback to regulate hormone levels

At day 12-14 of the menstrual cycle estrogen positively feedbacks to induce ovulation via an LH surge

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4
Q

A spike in which hormone causes ovulation?

A

Luteinizing hormone (LH)

Spike caused by positive feedback from estrogen

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5
Q

after ovulation, what happens to the follicle? What changes occur in hormone secretion?

A

The ruptured follicle develops into a corpus luteum

Estrogen begins to fall and progesterone rises

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6
Q

At menstruation what happens to the corpus luteum?

A

the corpus luteum degenerates into the corpus albicans and a new cycle can begin

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7
Q

How does the thickness of the endometrium progress through the course of the menstrual cycle?

A

Early - endometrium is thin, begins to thicken as increasing estrogen is released over the cycle

Ovulation - thickening continues and decidualization begins

Before day 28 - maximum thickness reached, if there is no pregnancy then bleeding ensues and thickness rapidly decreases

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8
Q

What effect does progesterone have on the endometrium during the menstrual cycle?

A

The secretion of progesterone causes decidualization of the endometrium

  • Vascular and other cellular changes in preparation for pregnancy
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9
Q

What is amenorrhoea? What are the two types?

A

Condition of not having period bleeding

Primary - never had a period
Secondary - had periods but have stopped

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10
Q

What is hypogonadotrophic hypogonadism?

A

Failure of function of the gonads due to improper secretion of gonadotropin hormones (FSH, LH, prolactin)

Usually due to lesions / chemical imbalances in the hypothalamic - pituitary region

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11
Q

What is hypergonadotropic hypogonadism?

A

Hypogonadism (improper ovarian function) due to pathology at the gonads (ovaries) themselves

Gonadotropins are high (FSH & LH) but gonads don’t respond efficiently to them

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